Abstract
Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1842-1848 |
| Number of pages | 7 |
| Journal | American Journal of Public Health |
| Volume | 106 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 1 2016 |
Fingerprint
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Effective referral of low-income women at risk for hereditary breast and ovarian cancer to genetic counseling : A randomized delayed intervention control trial. / Pasick, Rena J.; Joseph, Galen; Stewart, Susan L; Kaplan, Celia; Lee, Robin; Luce, Judith; Davis, Sharon; Marquez, Titas; Nguyen, Tung; Guerra, Claudia.
In: American Journal of Public Health, Vol. 106, No. 10, 01.10.2016, p. 1842-1848.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effective referral of low-income women at risk for hereditary breast and ovarian cancer to genetic counseling
T2 - A randomized delayed intervention control trial
AU - Pasick, Rena J.
AU - Joseph, Galen
AU - Stewart, Susan L
AU - Kaplan, Celia
AU - Lee, Robin
AU - Luce, Judith
AU - Davis, Sharon
AU - Marquez, Titas
AU - Nguyen, Tung
AU - Guerra, Claudia
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.
AB - Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.
UR - http://www.scopus.com/inward/record.url?scp=84988036792&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84988036792&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2016.303312
DO - 10.2105/AJPH.2016.303312
M3 - Article
C2 - 27552275
AN - SCOPUS:84988036792
VL - 106
SP - 1842
EP - 1848
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 10
ER -